Provider Network Consultant 29988 at Solving IT

One of the largest health insurers in the nation is focused on continuously building an industry-defining, world-class IT capability. Healthcare is forever evolving, especially due to emerging technologies, making this a great experience to add to your resume. Come join their winning team!

This contract role as a Provider Network Consultant in Richardson, TX is responsible for providing supporting services, provider operations and contracting of individual and facility behavioral health providers.

Responsibilities:

•        Providing supporting services, provider operations and contracting of individual and facility behavioral health providers.

•        Researching and resolving provider inquiries arising from contract operations, system, and directory issues.

•        Responsible for internal communications including working with Provider Network and Provider Relations team members and staff related to contract and network build initiatives and issue resolution.

•        Responsible for external communications including educating and updating the BH provider network community regarding policy updates, system and contractual changes.

•        Assist the team to build a fast paced BH provider network project with a tight deadline.

Job Requirements:

•        Bachelor degree OR 2 years of experience in health insurance/managed care industry for behavioral health providers and/or facilities in order handling independent decision making. Written and verbal communication skills to compose responses to external and internal entities

•        To educate providers

•        To compose training materials and procedures

•        To work across departments to resolve provider contracting barriers

•        Candidate must be PC proficiency in Microsoft tools including but not limited to Microsoft Outlook, Word, Excel, PowerPoint and Adobe PDF.

Preferred Job Requirements:

•        Bachelor Degree with one year business experience.

•        Knowledge of health care industry, contracts, products, claims processing.

•        Knowledge of behavioral health services to support contracting efforts.

Benefits: 

Solving IT, a Woman and LGBTQ+ owned and operated organization is thrilled to provide a comprehensive benefit package to all our W2 employees and their families, regardless of gender. We are proud to offer five diverse health plan options as well as a PPO dental plan through Blue Cross Blue Shield, Term Life/AD&D Insurance, and a 401(k) Savings Plan. Solving IT covers a portion of the health and dental premiums for our employees. 

As you progress in your professional journey, Solving IT is dedicated to accommodating your evolving preferences and matching you with fulfilling projects. We champion equality and embrace diversity in all its forms. Creating an atmosphere that encourages varied perspectives to collaborate fosters personal development, strengthens team unity, and contributes to the overall success of the organization! 

Whether you're seeking your next career challenge or aiming to stay abreast of industry trends, Solving IT is committed to supporting your career advancement. We actively encourage applications from all backgrounds and utilize the most up-to-date market insights and compensation data to ensure that you receive not just advice, but the complete Solving IT Experience.